Journal article
A Retrospective Analysis of Clinical Trial Accrual of Patients Presented in a Multidisciplinary Tumor Board at a Tertiary Health Care Center and Associated Barriers
Oncology research and treatment, Vol.43(5), pp.196-201
05/01/2020
DOI: 10.1159/000506840
PMCID: PMC8188843
PMID: 32222709
Abstract
Introduction: Cancer clinical trial accruals have been historically low and are affected by several factors. Multidisciplinary Tumor Board Meetings (MTBM) are conducted regularly and immensely help to devise a comprehensive care plan including discussions about clinical trial availability and eligibility. Objectives: To evaluate whether patient discussion at MTBM was associated with a higher consent rate for clinical trials at a single tertiary care center. Methods: Institutional electronic medical records (EMR) and clinical trials management system (OnCore) were queried to identify all new patient visits in oncology clinics, consents to clinical trials, and MTBM notes between January 1, 2011 and December 31, 2015. The association between MTBM discussion and subsequent clinical trial enrollment within 16 weeks of the new patient visit was evaluated using a chi(2) test. Results: Between January 1, 2011 and December 31, 2015, 11,794 new patients were seen in oncology clinics, and 2,225 patients (18.9%) were discussed at MTBMs. MTBM discussion conferred a higher rate of subsequent clinical trial consent within 16 weeks following the patient's first consultation in an oncology clinic: 4.1% for those who were discussed at a MTBM compared to 2.8% for those not discussed (p < 0.01). Conclusions: This study provides evidence that MTBMs may be effective in identifying patients eligible for available clinical trials by reviewing eligibility criteria during MTBM discussions. We recommend discussion of all new patients in MTBM to improve the quality of care provided to those with cancer and enhanced clinical trial accrual.
Details
- Title: Subtitle
- A Retrospective Analysis of Clinical Trial Accrual of Patients Presented in a Multidisciplinary Tumor Board at a Tertiary Health Care Center and Associated Barriers
- Creators
- Erin M. Mobley - University of Southern CaliforniaUmang Swami - Huntsman Cancer InstituteSarah Mott - University of IowaAgnes Ounda - Healing InstituteMohammed Milhem - Roy J. and Lucille A. Carver College of MedicineVarun Monga - Roy J. and Lucille A. Carver College of Medicine
- Resource Type
- Journal article
- Publication Details
- Oncology research and treatment, Vol.43(5), pp.196-201
- Publisher
- Karger
- DOI
- 10.1159/000506840
- PMID
- 32222709
- PMCID
- PMC8188843
- ISSN
- 2296-5270
- eISSN
- 2296-5262
- Number of pages
- 6
- Grant note
- Iowa Cancer Consortium Iowa Department of Public Health
- Language
- English
- Date published
- 05/01/2020
- Academic Unit
- Health Management and Policy; Hematology, Oncology, and Blood & Marrow Transplantation; Internal Medicine
- Record Identifier
- 9984359879702771
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